Official SealSan Joaquin County Human Resources Division


#1022-RH5353-AC
Supplemental Questionnaire

Last Name
First Name
1.

Do you possess at least one year of full-time (40 hours per week/2080 hours) paid experience as a licensed respiratory care practitioner?
Yes No

 

If yes, please ensure this qualifying experience is listed in the employment experience section of your application. 
2.

Please provide your Respiratory Care Practitioner license number. (Write "none" if you do not possess a valid California Respiratory Care Practitioner license.)
3.

By clicking on the box, I acknowledge and accept that an offer of employment as a Respiratory Care Practitioner II is conditional on my ability to provide proof of a high school diploma or equivalent as required by the California Association of Pathology for non-waive testing.
4.

Position(s) may rotate or be assigned to the Medical Guarded Unit. As a condition of employment, candidates assigned to the Medical Guarded Unit must successfully pass a California Department of Corrections (CDCR) background investigation conducted by the California Depatment of Corrections and Rehabilitation. Candidates must also maintain their CDCR clearance for continued employment in this unit. Please check the below box to acknowledge you understand and will comply with the above terms.
Yes, I acknowledge and understand the above terms.
5.

Are you interested in being considered for part-time employment?
Yes No